The Relationship Between Safety Culture and Voluntary Event Reporting in a Large Regional Ambulatory Care Group

Nina Miller, Shelly Bhowmik, Margarete Ezinwa, Ting Yang, Susan Schrock, Daniel Bitzel, Maura Mcguire

Research output: Contribution to journalArticle

Abstract

OBJECTIVES: The safety culture in the workplace may affect event reporting. We evaluated the relationship of safety culture and voluntary event reporting within a large network of ambulatory practices, most of which provided primary care. METHODS: This study was an observational, retrospective cohort study. Patient safety event reporting rates for 35 ambulatory practices were collected using a standard tool (UHC Patient Safety Net [PSN]) and normalized based on the number of patient visits in each practice. The overall and domain-specific safety culture of each practice was measured with a validated instrument (Safety Attitudes Questionnaire [SAQ]), distributed to 828 employees in 2013. We compared safety culture scores and the average event reporting rates during a 4-month window before and after the survey distribution. Poisson regression analyses were performed to determine the relationship between PSN reporting rates and SAQ results. RESULTS: The SAQ response rate was 87%. Practices varied widely in rates of reporting events, from 0.00 to 6.99 reports per 1000 total patient visits per month. Regression analyses indicated a positive association between PSN reporting rates and SAQ scores for the domains of overall culture (incidence rate ratio [IRR], 1.019; P = 0.004) and 4 safety culture domains: teamwork climate (IRR, 1.016; P = 0.019), safety climate (IRR, 1.018; P = 0.004), working conditions (IRR, 1.017; P = 0.006), and perceptions of local management (IRR, 1.016; P = 0.040). CONCLUSIONS: Our work provides new evidence to show that in the ambulatory setting more events and near misses are reported when there is a strong culture of safety.

Original languageEnglish (US)
JournalJournal of Patient Safety
DOIs
StateAccepted/In press - Jan 30 2017
Externally publishedYes

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Safety Management
Ambulatory Care
Patient Safety
Safety
Incidence
Climate
Regression Analysis
Workplace
Observational Studies
Primary Health Care
Cohort Studies
Retrospective Studies
Surveys and Questionnaires

ASJC Scopus subject areas

  • Leadership and Management
  • Public Health, Environmental and Occupational Health

Cite this

The Relationship Between Safety Culture and Voluntary Event Reporting in a Large Regional Ambulatory Care Group. / Miller, Nina; Bhowmik, Shelly; Ezinwa, Margarete; Yang, Ting; Schrock, Susan; Bitzel, Daniel; Mcguire, Maura.

In: Journal of Patient Safety, 30.01.2017.

Research output: Contribution to journalArticle

Miller, Nina ; Bhowmik, Shelly ; Ezinwa, Margarete ; Yang, Ting ; Schrock, Susan ; Bitzel, Daniel ; Mcguire, Maura. / The Relationship Between Safety Culture and Voluntary Event Reporting in a Large Regional Ambulatory Care Group. In: Journal of Patient Safety. 2017.
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